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Published on: March 9, 2018
Directed therapy for fungal infections: focus on aspergillosis
1Department of Medical Microbiology and Infectious Diseases, Institute of Infection and Immunity, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK.
Abstract:
Directed therapy aims to target antifungal drugs to patients most likely to have fungal disease and to reduce the use of empirical therapy. The term embraces both pre-emptive therapy, where biomarkers are used to detect early signs of infection before there is clinical disease, and diagnostically driven approaches, which rely on radiological signs to detect early manifestations of clinical disease. Better targeting of drugs can potentially reduce antifungal expenditure, limit the development of resistance and improve outcomes for patients.
Insights
Directed antifungal therapy targets medications to patients needing them most, reducing empirical treatment. This approach uses biomarkers or imaging to detect early fungal infections, improving patient outcomes and limiting drug resistance.
Area of Science:
- Mycology
- Infectious Diseases
- Pharmacology
Background:
- Empirical antifungal therapy is common but can lead to overuse and resistance.
- Identifying patients most likely to benefit from antifungal treatment is crucial.
Purpose of the Study:
- To define and explore the concept of directed antifungal therapy.
- To highlight methods for optimizing antifungal drug use.
Main Methods:
- Review of pre-emptive therapy using biomarkers for early detection.
- Discussion of diagnostically driven approaches utilizing radiological signs.
Main Results:
- Directed therapy encompasses both pre-emptive and diagnostically driven strategies.
- Improved drug targeting can reduce antifungal expenditure and resistance.
Conclusions:
- Directed antifungal therapy offers a strategy to optimize treatment.
- This approach has the potential to improve patient outcomes and reduce healthcare costs.
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